Scheduling Request for the Governor

Please complete all required fields. Scheduling requests must be submitted in writing at least 30 days in advance of event requested.

First Name: *

Last Name: *

Organization:

Email: *

Phone Number: *

Has a date been set for this event?Yes, a date has been set
No, a date has not been set or the date is flexible

Event Start Time: *

Event End Time: *

Event Location: *

Address Line 1: *

Address 2:

City: *

State: *

Zip: *

Role of the Governor: *

Governor Start Time:

Governor End Time: *

Number of People Expected:

Event Description: (250 characters maximum)

Are you wiling to have staff attend if the Governor is not available?
Yes
No

Is your event open to the media? YesNo

Event Attachment: (1MB maximum)

Additional Comments: (50 characters maximum)